| NPI | 1932129459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJATA VIDYASAGAR Owner/Md. 718-405-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 144222) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-08-06 |